Chicago Black Social Culture Map-Community Archiving Registration & Waiver Form
Hello!

We are excited to have you register as an ORAL HISTORY INTERVIEWEE and/or COMMUNITY ARCHIVING PARTICIPANT for our Chicago Black Social Culture Map Project. You can learn more about the interactive project documenting Chicago's Black Lived experiences HERE.

Please fill out the Registration and Waiver form below to reserve a time slot in our Oral History Interview. We will use your interview broader our archival work on our OMEKA Map, an interactive map chronicling the memories and experiences of Chicago House and nightlife.

Once you complete the form, CBSCM Volunteers will context you via Text Message 10 minutes before your scheduled interview.

Thank you for participating in our CBSCM program!

-The Chicago Black Social Culture Map Team
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Name *
Email *
Phone Number *
We will use your phone number to remind you of your interview or digitizing materials slot the day of ONLY. 
Please select your FIRST Choice Interview Window Time
Each interview is 20 minutes long. We will confirm with you what your exact interview time is the day of.
Please select your FIRST Choice Digitizing Materials Window Time
 We will confirm with you what your exact time is the day of.
Please select your SECOND Choice Interview Window Time
Each interview is 20 minutes long. We will confirm with you what your exact interview time is the day of.
Please select your SECOND Choice Digitizing Materials Window Time
 We will confirm with you what your exact time is the day of.
Please select your THIRD Choice Interview Window Time
Each interview is 20 minutes long. We will confirm with you what your exact interview time is the day of.
Please select your THIRD Choice Digitizing Materials Window Time
 We will confirm with you what your exact time is the day of.
How did you hear about us? *
Required
If you hear about our program from a Community Member, please share whom.
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